Judd M Reynolds in Hattiesburg - Family Medicine
Judd M Reynolds - NPI 1730355967
Judd M Reynolds is a Family Medicine in Hattiesburg, Mississippi. Judd M Reynolds practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Judd M Reynolds is 1730355967. The last update date is 2021-06-30.
Judd M Reynolds's current location address is 415 S 28th Ave, Hattiesburg, Mississippi. You can contact this provider via phone number 6015447404 and fax number 6015795240. The mailing address for Judd M Reynolds is 415 S 28th Ave, Hattiesburg, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Judd M Reynolds |
|---|---|
| Address | 415 S 28th Ave, Hattiesburg, Mississippi |
| Phone Number | 6015447404 |
| Fax Number | 6015795240 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1730355967 |
|---|---|
| Provider Enumeration Date | 2008-05-07 |
| Last Updated Date | 2021-06-30 |
Provider Mailing Address Detail
| Address | 415 S 28th Ave |
|---|---|
| City | Hattiesburg |
| State | Mississippi (MS) |
| Post Code | 394017246 |
| Phone Number | 6015447404 |
| Fax Number | 6015795240 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 24473 |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9807844 | MS | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Judd M Reynolds?
The Judd M Reynolds has been issued the NPI (National Provider Identifier) 1730355967 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Judd M Reynolds's physical address?
The Judd M Reynolds is physically located at 415 S 28Th Ave, in the city of Hattiesburg, MS, with the postal code 394017246.
What is Judd M Reynolds's specialized field of practice, and what is the corresponding taxonomy classification code?
The Judd M Reynolds's area of specialization is Family Medicine, and the corresponding taxonomy code that categorizes this field of practice is 207Q00000X.
On what date did the Judd M Reynolds receive its 1730355967 assignment from the Centers for Medicare & Medicaid Services?
The Judd M Reynolds was assigned its 1730355967 by the Centers for Medicare & Medicaid Services on 2008-05-07.
When was the Judd M Reynolds's information last updated?
The Judd M Reynolds's information was last updated on 2021-06-30.
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